Individual
CARRIE M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S
Contact information
Practice address
1285 N MAIN ST STE 101-5, MANSFIELD, TX 76063-1511
(682) 651-7621
Mailing address
PO BOX 163781, FORT WORTH, TX 76161-3781
(682) 651-7621
(817) 887-3409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
71834
TX
101YP2500X
Professional Counselor
Primary
71834
TX
103TC1900X
Counseling Psychologist
71834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355748001
—
TX
Enumeration date
12/17/2015
Last updated
10/17/2024
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